Provider Demographics
NPI:1760520183
Name:SCV AUDIOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:SCV AUDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NOLA
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:ARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-288-1400
Mailing Address - Street 1:23822 VALENCIA BLVD
Mailing Address - Street 2:STE #103
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2058
Mailing Address - Country:US
Mailing Address - Phone:661-253-3277
Mailing Address - Fax:661-288-1490
Practice Address - Street 1:23822 VALENCIA BLVD
Practice Address - Street 2:STE #103
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5302
Practice Address - Country:US
Practice Address - Phone:661-253-3277
Practice Address - Fax:661-288-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU749A237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0007490Medicaid
CAAUD749Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER